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E105

E105Non-magnetic - posterior segment

OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits

Surgical repair for the removal of a non-magnetic foreign body from the posterior segment of the eyeball. This service is part of the Ocular and Aural Surgical Procedures section of the Schedule. The fee is eligible for payment to the surgeon (suffix A), surgical assistant (suffix B), and anaesthesiologist (suffix C). Assistant and anaesthesia fees are calculated based on basic and time units.

When to Use

  • Use E105 for the surgical removal of an intraocular foreign body (IOFB) located in the posterior segment that is confirmed to be non-magnetic, such as glass, plastic, or certain metallic alloys.
  • Select E105 specifically when the procedure involves vitrectomy or scleral techniques to retrieve a non-magnetic object, distinguishing it from E104 which covers magnetic foreign body removal.

Common Pitfalls

  • Billing E105 alongside other major ocular surgeries without applying the multiple procedure rule, which requires the secondary procedure to be reduced to 50% of the fee.
  • Failing to document the specific nature of the foreign body; if the object is magnetic, E104 must be used instead to avoid audit discrepancies regarding the surgical approach.

Billing Tips

  • Ensure the operative report clearly describes the posterior segment location and the non-magnetic nature of the foreign body to support the use of E105 over other ocular foreign body codes.
Provider Fee$424.35
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

OCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Ocular and Aural Surgical Procedures

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